Organization
FOND DU LAC COUNTY
Active
Other names
Susan M Lopau Memorial Shelter Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PAUL (BUSINESS OPERATIONS DIVISION MANAGE)
(920) 929-3446
Entity
Organization
Contact information
Practice address
79 E 9TH ST, FOND DU LAC, WI 54935-5056
(920) 929-3482
Mailing address
79 E 9TH ST, FOND DU LAC, WI 54935-5056
(920) 929-3482
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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